A case of total resection of mandible for suppurative osteomyelitis.

We experienced a case of total resection of mandible for subacute suppurative osteomyelitis in a 25 year old man.As an extensive area of right mandible already was found to have been destroyed at first examination, resection of affected side was indicated.But, inflamation developed to the residual left side of the mandible and diffused bone destruction rapidly extended to the ramus of the mandible.About 1 year after hemimandibulectomy we had to completely resect the mandible.About 3 years after hemimandibulectomy we carried out secondary total reconstruction with iliac bone grafting and AO metal plate.Then 5 years after hemimandibulectomy we performed mandibular vestibuloplasty with inlay skin grafting which enabled the patient to accept a full denture.